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  1. AU="Restaino, Valeria"
  2. AU="Wang, Haochen"
  3. AU=Shoib Sheikh
  4. AU=Patel Ishan
  5. AU="Mongioì, Laura M"
  6. AU="Fernández-Pacheco, Borja Camacho"
  7. AU=Waghmare Alpana AU=Waghmare Alpana
  8. AU="Peyre, Marion"
  9. AU=Mulazimoglu L
  10. AU=Roy Satyaki
  11. AU="Li Yuanyuan"
  12. AU=Khan Shehryar
  13. AU=Cole Sarah L
  14. AU="Júnior, Raimundo Nonato Colares Camargo"
  15. AU="Feeney, Judith A"

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  1. Artikel ; Online: Extended Lymphadenectomy for Gastric Cancer in the Neoadjuvant Era: Current Status, Clinical Implications and Contentious Issues.

    Marano, Luigi / Carbone, Ludovico / Poto, Gianmario Edoardo / Restaino, Valeria / Piccioni, Stefania Angela / Verre, Luigi / Roviello, Franco / Marrelli, Daniele

    Current oncology (Toronto, Ont.)

    2023  Band 30, Heft 1, Seite(n) 875–896

    Abstract: Despite its decreasing incidence, gastric cancer remains an important global healthcare problem due to its overall high prevalence and high mortality rate. Since the MAGIC and FNLCC/FFCD trials, the neoadjuvant chemotherapy has been recommended ... ...

    Abstract Despite its decreasing incidence, gastric cancer remains an important global healthcare problem due to its overall high prevalence and high mortality rate. Since the MAGIC and FNLCC/FFCD trials, the neoadjuvant chemotherapy has been recommended throughout Europe in gastric cancer. Potential benefits of preoperative treatments include a higher rate of R0 resection achieved by downstaging the primary tumor, a likely effect on micrometastases and isolated tumor cells in the lymph nodes, and, as a result, improved cancer-related survival. Nevertheless, distortion of anatomical planes of dissection, interstitial fibrosis, and sclerotic tissue changes may increase surgical difficulty. The collection of at least twenty-five lymph nodes after neoadjuvant therapy would seem to ensure removal of undetectable node metastasis and reduce the likelihood of locoregional recurrence. It is not what you take but what you leave behind that defines survival. Therefore, para-aortic lymph node dissection is safe and effective after neoadjuvant chemotherapy, in both therapeutic and prophylactic settings. In this review, the efficacy of adequate lymph node dissection, also in a neoadjuvant setting, has been investigated in the key studies conducted to date on the topic.
    Mesh-Begriff(e) Humans ; Stomach Neoplasms/drug therapy ; Stomach Neoplasms/surgery ; Stomach Neoplasms/pathology ; Neoadjuvant Therapy ; Prognosis ; Neoplasm Recurrence, Local/surgery ; Lymph Node Excision
    Sprache Englisch
    Erscheinungsdatum 2023-01-08
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article ; Review
    ZDB-ID 1236972-x
    ISSN 1718-7729 ; 1198-0052
    ISSN (online) 1718-7729
    ISSN 1198-0052
    DOI 10.3390/curroncol30010067
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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    Verfügbar in ZB MED Köln/Königswinter

    Zs.A 4305: Hefte anzeigen Standort:
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    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
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  2. Artikel ; Online: Double Asymmetric Circular Incision, a New Skin-Sparing Mastectomy Technique: Results and Outcomes of the First 46 Procedures.

    Casella, Donato / Cassetti, Dario / Marcasciano, Marco / Lo Torto, Federico / Fusario, Daniele / Miccoli, Simone / Fausto, Alfonso / Restaino, Valeria / Ribuffo, Diego / Neri, Alessandro

    Plastic and reconstructive surgery

    2022  Band 151, Heft 3, Seite(n) 384e–387e

    Abstract: Summary: Skin-sparing mastectomy (SSM) is a surgical technique that preserves as much of the breast skin as possible. Double asymmetric circular incision (DACI) is a novel immediate breast reconstruction technique for immediate prepectoral implant ... ...

    Abstract Summary: Skin-sparing mastectomy (SSM) is a surgical technique that preserves as much of the breast skin as possible. Double asymmetric circular incision (DACI) is a novel immediate breast reconstruction technique for immediate prepectoral implant placement using a titanium-coated polypropylene mesh. The aim of this technique is to optimize the cosmetic benefits of smaller incisions, preserve breast anatomy, avoid breast deformities, and reduce the negative psychological impact on the patient without increasing local recurrence risk. DACI SSM uses a double circular incision: the external drawing contains the nipple-areola complex, while the inner circular skin island is used to provide the skin for the new areola. The authors performed DACI SSM in patients with tumors located within 2 cm of the nipple-areola complex, or in patients with multicentric lesions involving areolar tissue. Forty-six patients underwent DACI SSM at the authors' institutions between February of 2014 and July of 2019. Two patients developed hematoma, and one patient developed seroma. No implant loss was observed. Skin flap necrosis rate was 0%. The BREAST-Q patient-reported outcomes measure was routinely used at the authors' institutions and recorded good aesthetic outcomes and high patient satisfaction. This new technique appears to be safe and easily reproducible in patients with small to medium-sized breasts and with little to moderate ptosis (up to Regnault classification grade II).
    Clinical question/level of evidence: Therapeutic, IV.
    Mesh-Begriff(e) Humans ; Female ; Mastectomy/methods ; Breast Neoplasms/surgery ; Retrospective Studies ; Mammaplasty/methods ; Nipples/surgery ; Surgical Wound/surgery ; Mastectomy, Subcutaneous/methods
    Sprache Englisch
    Erscheinungsdatum 2022-11-19
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 208012-6
    ISSN 1529-4242 ; 0032-1052 ; 0096-8501
    ISSN (online) 1529-4242
    ISSN 0032-1052 ; 0096-8501
    DOI 10.1097/PRS.0000000000009907
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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